Individual
HECTOR M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4931 S 27TH ST, SUITE 200, GREENFIELD, WI 53221-2652
(414) 546-3400
(414) 546-3500
Mailing address
4931 S 27TH ST, SUITE 200, GREENFIELD, WI 53221-2652
(414) 546-3400
(414) 546-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33647
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31944500
—
WI
05
—
392004651
—
WI
Enumeration date
01/03/2006
Last updated
03/05/2012
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